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The Transition From Thinness-Oriented to Muscularity-Oriented Disordered Eating in Adolescent Males: A Clinical Observation

Murray, SB, Griffiths, S, Mitchison, D and Mond, JM ORCID: 0000-0002-0410-091X 2017 , 'The Transition From Thinness-Oriented to Muscularity-Oriented Disordered Eating in Adolescent Males: A Clinical Observation' , Journal of Adolescent Health, vol. 60, no. 3 , pp. 353-355 , doi: 10.1016/j.jadohealth.2016.10.014.

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Purpose:Robust empirical evidence has illustrated a rising prevalence of body dissatisfaction and disordered eating among males, noting that both may be oriented more toward muscularity—as opposed to thinness-oriented concerns. While an elevated prevalence of premorbid anorexia nervosa (AN) has been noted among those with muscle dysmorphia, little evidence has examined the process of this transition from thinness-oriented to muscularity-oriented disordered eating.Methods:This clinical observation presents a case of AN in an adolescent male, whose symptom presentation transitioned during the course of treatment for AN, into more muscularity-oriented disordered eating.Results:Despite the core body image disturbance and disordered eating behaviors being retained, the behavioral expression of muscularity-oriented disordered eating was difficult to detect during treatment for AN, and he was discharged from treatment as his muscularity-oriented disordered eating escalated.Conclusions:Transdiagnostic crossover between thinness-oriented and muscularity-oriented disordered eating represents an important clinical concern, which may be challenging to measure and assess. Implications for treatment are discussed, and the early detection of muscularity-oriented disordered eating.

Item Type: Article
Authors/Creators:Murray, SB and Griffiths, S and Mitchison, D and Mond, JM
Keywords: Muscle dysmorphia, Anorexia nervosa, Muscularity-oriented disordered eating
Journal or Publication Title: Journal of Adolescent Health
Publisher: Elsevier Science Inc
ISSN: 1054-139X
DOI / ID Number: 10.1016/j.jadohealth.2016.10.014
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Copyright 2016 Society for Adolescent Health and Medicine. All rights reserved.

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